families and alcohol
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Families and Alcohol
Deborah GornikHead of early intervention,
prevention and partnerships
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Covering today
• Why are we doing this?
• The approach we have taken
• Outcomes to achieve
• Lessons learned
• Things to share
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Why are we doing this?• Studies show that children of parents who misuse
alcohol are at a higher risk of mental ill-health, behavioural problems, police involvement, and alcohol / substance misuse
• The annual cost related to alcohol misuse in the Blackburn area is £33m
• 17.6% of BwD 16+ population drink at hazardous levels (18,090 people)
• 5.5% drink at harmful levels (5,653 people)
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Why are we doing this?• Looking for ways to improve strategic objectives:
– Reduce alcohol-harm related hospital admissions (NI 39)– Reduce the all age, all cause mortality rate (NI 120)– Reduce the mortality rate from all circulatory diseases for citizens
under 75 (NI 121) – improving the health, well-being and development of children
across Blackburn with Darwen.
• Looking for ways to work smarter & in partnership– Identify efficiency savings and improve effectiveness of public
sector resources
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The approach we have taken• Phased approach (with review at end of phase)
– Phase 1: Understand the current situation of services, front line staff opinion and customer opinion to identify
areas to improve.– Phase 2: Develop conceptual models of potential improvements. – Phase 3: Develop improvement plan with costings
• Involve stakeholders• Be practical and pragmatic• Produce useful product
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Phase 1 - activity• Customer definition workshop • Service provider interviews• Customer engagement workshops• Challenge workshops• Costing research• Interim improvement report
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Phase 1 - findings• Alcohol was only part of a complex picture.• Treating the symptoms didn’t necessarily remove
the cause• Once misuse starts it is costly and difficult to
stop • There is a knock on affect to other members of
the family
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Circles of Need® - all content is © Aperia 2010
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Brief Interventions – GMW / EvolveFamilies United Service - LifelineYoung People Clinical Treatment - LifelineNational Helpline – AA
Extended Interventions – GMW / EvolveSupport Groups – EvolveStructured Day Programmes – EvolveFamilies United Service - LifelineBreakfast Club - Voice
Home Detox – GMWRecovery Support – GMWAbstinence Group – EvolveWork Routes – EvolveFamilies United Service - LifelineBreakfast Club - Voice
TIME
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Phase 1 - conclusions• More effort needs to be put into prevention and
earlier intervention– More brief interventions– More early referrals– More big society type action– More holistic family support
• Decided to move the project into a Think family context to focus on prevention and earlier intervention.
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Phase 2 - Concept
• Family Service Planner– Organise services such that they can be easily identified
by a lead professional (and any front line worker)– Aim to include all ‘services’ across the place– Group costs to identify place based sharing opportunities – Develop a means to justify a family intervention– Develop a family service plan to be more holistic and
encourage proactive referrals
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Family service planner
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Family Service Planner
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Phase 3 - Plans
• Firm improvement plans– This will be planned after a review of phase 2 but
intention is to present options to senior management that will deliver the objectives given at the start.
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The outcomes to achieve• Cultural shift in being more customer and partnership
focused• Efficiency savings and more effective services by
working better as a public sector• Reduction in higher levels because of level 1 and 2
interventions• Sustainable change with more community
involvement• Improvement in the strategic objectives for the longer
term
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Lessons learned• This is ‘hard to justify’ work and needs driving forward• There are too many stakeholders to get on board but
worth giving everyone the opportunity to speak • There are a lot of services available but they aren’t
always cohesive in meeting customer need• Need to define useful SMART products and tools not
more theory• Having a private sector PARTNER helps
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Things to share
• Findings & Improvement Report
• Family service planner concept
• Final improvement plan
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Thank you for listeningAny questions?